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NPI Code Detail

MEDICARE: MS. JENNIFER R DEAN COTA ,L

MEDICARE:  MS. JENNIFER R DEAN  COTA ,L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant01069401OR

General Provider Information

NPI Number : 1003033622
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER R DEAN COTA ,L
Provider Business Mailing Address
First Line : PO BOX 165
Second Line :
City : BAYARD
State : NM
Zip : 88023-0165
Country : US
Telephone Number : 505-313-3229
Fax Number :
Provider Business Practice Location Address
First Line : 2300 WARREN ST
Second Line :
City : EUGENE
State : OR
Zip : 97405-1116
Country : US
Telephone Number : 541-686-2828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 07/08/2007

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Directions to “ MS. JENNIFER R DEAN COTA ,L” Practice Location

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